NPI | 1972289692 |
---|---|
Former Name | JAIME LEIGH WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1511120623) |
Enumeration Date | 2023-06-27 |
Last Update Date | 2024-01-25 |