| NPI | 1962757609 |
|---|---|
| Former Name | LATRICE WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 145207) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 4720) |
| 106H00000X Marriage & Family Therapist (Licence: CA 104128) | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2024-02-21 |