| 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 |