Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | 13803 | FL |
NPI | 1013319680 |
---|---|
Provider Name | Zita Williams |
First Address | Plantation, FL 33313-6800 |
Second Address | Plantation, FL 33313-6800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2014 |
Last Update Date | 25/09/2014 |