| NPI | 1093313116 |
|---|---|
| Former Name | COTINA NICOLE WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 26554) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2024-10-29 |