NPI | 1902162977 |
---|---|
Former Name | JANECE MINELLE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AK 620) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AK 3636) |
Enumeration Date | 2012-04-04 |
Last Update Date | 2023-04-05 |