NPI | 1912495367 |
---|---|
Former Name | DIANA WILLIAMS GONZALES POW SANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304443) |
Enumeration Date | 2018-05-01 |
Last Update Date | 2025-10-03 |