NPI | 1467001966 |
---|---|
Former Name | SARAH WILLIS/ THOMPSON-WILLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH20034) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0710103413) |
Enumeration Date | 2019-09-06 |
Last Update Date | 2023-02-04 |