NPI | 1033575485 |
---|---|
Former Name | MARY BARRETT SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 4092C-1912) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW1290) |
Enumeration Date | 2016-01-14 |
Last Update Date | 2023-02-06 |