| NPI | 1245966456 |
|---|---|
| Former Name | MARIETTA WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2025-01-07 |