NPI | 1073066114 |
---|---|
Other Name | ANTOINETTE MARIE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2016-07-25 |
Last Update Date | 2025-08-20 |