| 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 |