NPI | 1184891897 |
---|---|
Former Name | KIM DENISE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077058-R) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 12039) |
Enumeration Date | 2008-05-12 |
Last Update Date | 2016-01-05 |