| NPI | 1124427554 |
|---|---|
| Former Name | KARRIE WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401013681) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |