Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 3596 | NJ |
NPI | 1104049774 |
---|---|
Provider Name | Dr. Elizabeth Williams |
First Address | Somerset, NJ 08873-3161 |
Second Address | Somerset, NJ 08873-3161 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 08/07/2007 |