NPI | 1134874902 |
---|---|
Former Name | EMILY WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12065) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP12065) |
Enumeration Date | 2022-02-19 |
Last Update Date | 2024-07-19 |