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 |