| NPI | 1609255884 |
|---|---|
| Former Name | JESSICA WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC010546) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC004869) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2022-04-25 |