NPI | 1982368460 |
---|---|
Former Name | VENETIA L WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2757) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MT2757) |
Enumeration Date | 2021-10-29 |
Last Update Date | 2022-12-21 |