| NPI | 1972067353 |
|---|---|
| Former Name | TRISHA WILCOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007885A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001597A) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |