NPI | 1255637112 |
---|---|
Other Name | CLINT WILLIAMS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 63759) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 63759) |
Enumeration Date | 2011-02-09 |
Last Update Date | 2011-03-01 |