| 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 |