NPI | 1831875624 |
---|---|
Former Name | EBONY WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC01098300) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00513400) |
104100000X Social Worker (Licence: NJ 37AC00513400) | |
Enumeration Date | 2023-06-26 |
Last Update Date | 2025-03-24 |