NPI | 1033488515 |
---|---|
Former Name | JULIA ANNE SMILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00003273) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61516801) |
Enumeration Date | 2011-12-29 |
Last Update Date | 2024-04-11 |