NPI | 1336559699 |
---|---|
Former Name | JAVANA LATRICE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AR P2208008) |
101YM0800X Counselor, Mental Health (Licence: AR A2005069) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2014-05-07 |
Last Update Date | 2024-02-09 |