NPI | 1346714920 |
---|---|
Former Name | ELIZABETH ANNE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21339) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 8134125) |
Enumeration Date | 2019-01-16 |
Last Update Date | 2024-10-28 |