| NPI | 1922637982 |
|---|---|
| Former Name | CAROL WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810007253) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-10-04 |