| NPI | 1083956528 |
|---|---|
| Former Name | TYLER SMITH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 174400000X Specialist (Licence: WA 00217839 CPHQ) | |
| 174400000X Specialist (Licence: WA PS0141449 CPPS) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2021-07-22 |