NPI | 1437695012 |
---|---|
Former Name | MOLLY EGAN-WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104401) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 74207) |
1041C0700X Social Worker, Clinical (Licence: CA ASW74207) | |
Enumeration Date | 2017-01-06 |
Last Update Date | 2024-03-25 |