| NPI | 1528476637 |
|---|---|
| Former Name | KELLY LASHAY WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 10370) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 3264G) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |