NPI | 1891436952 |
---|---|
Former Name | GRACE ELIZABETH WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1219) |
Additional Taxonomies | 103TS0200X Psychologist School (Licence: TN 000617457) |
Enumeration Date | 2022-04-05 |
Last Update Date | 2023-04-02 |