NPI | 1477317808 |
---|---|
Former Name | PATRICIA ANN WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH25397) |
Additional Taxonomies | 101Y00000X Counselor (Licence: FL 25397) |
Enumeration Date | 2024-02-07 |
Last Update Date | 2024-12-14 |