NPI | 1649395419 |
---|---|
Former Name | MICHELLE RENEE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 80212) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 49307) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-10-09 |