| NPI | 1700228103 |
|---|---|
| Former Name | KELLY JO WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012897) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000869) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2022-02-03 |