| NPI | 1083475255 |
|---|---|
| Other Name | MIKKI L SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 178538) |
| 175T00000X Peer Specialist (Licence: OH FPS.000101) | |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-02-27 |