Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker | LCSW67018 | CA |
Y | 1041C0700X | Clinical Social Worker | LW60714519 | WA |
N | 174N00000X | Lactation Consultant | WA |
NPI | 1356541775 |
---|---|
Provider Name | Natasha Marie Williams |
First Address | Puyallup, WA 98373-3603 |
Second Address | Tacoma, WA 98405-4002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2007 |
Last Update Date | 13/11/2017 |