NPI | 1710143094 |
---|---|
Former Name | FOLUSO M WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003150) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH P6394) |
Enumeration Date | 2008-08-06 |
Last Update Date | 2009-12-15 |