| NPI | 1649521840 |
|---|---|
| Former Name | MARY WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AR 13-10EI) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR 11-46AE PL) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2024-04-09 |