NPI | 1639702756 |
---|---|
Other Name | SHAY WILLIAMS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1450831121) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2020-02-17 |
Last Update Date | 2022-01-11 |