| NPI | 1477687416 |
|---|---|
| Former Name | SHANNA DENISE WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 25158) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 16583) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2021-12-01 |