| NPI | 1831257492 |
|---|---|
| Former Name | SHAWANDA ANN WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 33380) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 33380) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 33380) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2016-08-24 |