NPI | 1700808961 |
---|---|
Former Name | MARY ELIZABETH WILLIAMS-WILKERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 3350) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS mslpc0311) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2021-07-15 |