NPI | 1831704386 |
---|---|
Former Name | STEVEHNA WILLIAMSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0017857) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0017289) |
Enumeration Date | 2020-09-11 |
Last Update Date | 2023-12-20 |