NPI | 1336812098 |
---|---|
Former Name | JAMES EDWARD WILLIAMS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 127194) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical (Licence: CA 127194) | |
Enumeration Date | 2021-07-28 |
Last Update Date | 2025-09-03 |