| NPI | 1750780771 |
|---|---|
| Former Name | CHANTEA DENISE WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003998) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY003998) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: GA PSY003998) | |
| 103T00000X Psychologist (Licence: GA PSY003998) | |
| 103TC1900X Psychologist, Counseling (Licence: GA PSY003998) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2023-09-20 |