NPI | 1568897734 |
---|---|
Former Name | RAQUEL WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103242) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
106H00000X Marriage & Family Therapist (Licence: CA 81575) | |
Enumeration Date | 2013-09-06 |
Last Update Date | 2023-08-03 |