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 |