| NPI | 1437524634 |
|---|---|
| Former Name | OCTAVIA CAMILLE WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801098831) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801103918) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2024-06-06 |