NPI | 1912248204 |
---|---|
Former Name | ERIN ELIZABETH WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: NM T-0186011) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2013-03-11 |
Last Update Date | 2017-01-04 |