NPI | 1841704020 |
---|---|
Former Name | IESHAH WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001382) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ NJDCATEMP-018784) |
Enumeration Date | 2017-11-26 |
Last Update Date | 2020-05-14 |