NPI | 1053527929 |
---|---|
Professional Name | GLADYS SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 2086) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2001029226) |
101YP2500X Counselor, Professional (Licence: MO 81701) | |
Enumeration Date | 2007-05-15 |
Last Update Date | 2007-07-08 |