NPI | 1770174500 |
---|---|
Former Name | MICHAELA WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 14019) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 14019) |
Enumeration Date | 2021-02-03 |
Last Update Date | 2022-05-13 |