| NPI | 1578006524 |
|---|---|
| Former Name | DANITA WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 5400) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: NY 022888) | |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2025-04-19 |