Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY22387 | CA |
NPI | 1033316005 |
---|---|
Provider Name | Dr. Katherine Nguyen Williams |
First Address | San Diego, CA 92123-4223 |
Second Address | San Diego, CA 92123-1953 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2007 |
Last Update Date | 17/12/2021 |