NPI | 1639614126 |
---|---|
Former Name | YOLANDA WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NC 5926) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC 16959) |
103K00000X Behavior Analyst | |
103K00000X Behavior Analyst (Licence: 1-19-36945) | |
103TH0100X Psychologist, Health Service (Licence: NC 5926) | |
Enumeration Date | 2016-12-20 |
Last Update Date | 2023-09-18 |