NPI | 1316237720 |
---|---|
Former Name | MICHAEL ANN WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii10430815) |
Enumeration Date | 2011-04-19 |
Last Update Date | 2024-07-22 |