NPI | 1972078012 |
---|---|
Other Name | MARKESE L WILLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
106S00000X Behavior Technician (Licence: IN RBT-16-12715) | |
104100000X Social Worker | |
Enumeration Date | 2018-10-04 |
Last Update Date | 2025-10-08 |