NPI | 1093810715 |
---|---|
Former Name | WENDY LEE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LW00004726) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 1856) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2010-03-08 |