NPI | 1679810584 |
---|---|
Former Name | SHELA ANN WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008636) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-27750) |
Enumeration Date | 2013-01-11 |
Last Update Date | 2024-02-23 |