| NPI | 1952640831 |
|---|---|
| Former Name | WANDA L WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ID LCSW-45394) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LMSW-31942) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2024-10-07 |