| NPI | 1891466249 |
|---|---|
| Former Name | KAMI SHEREE WILLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 21-08-10216) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2021-09-24 |