NPI | 1184939886 |
---|---|
Former Name | DEATREAL DENISE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL PMFT 130) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2010-08-18 |
Last Update Date | 2015-09-18 |