NPI | 1144551391 |
---|---|
Former Name | LAURA B. WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH P.07992) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY8050) |
Enumeration Date | 2010-01-27 |
Last Update Date | 2020-01-15 |