| NPI | 1023549045 |
|---|---|
| Former Name | JACQUELINE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801098968) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801098968) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2018-02-28 |