Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | 0701002325 | VA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 0812000027 | VA |
NPI | 1124023189 |
---|---|
Provider Name | Mrs. Elizabeth Anne Williams |
First Address | Hampton, VA 23666-2410 |
Second Address | Hampton, VA 23666-2410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2005 |
Last Update Date | 08/07/2007 |