NPI | 1487195327 |
---|---|
Former Name | SUSAN ORA WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 104100000X Social Worker (Licence: MN 29948) |
225700000X Massage Therapist | |
Enumeration Date | 2017-03-11 |
Last Update Date | 2024-10-13 |