| NPI | 1114401338 |
|---|---|
| Former Name | COURTNEY DANIELLE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 12258A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2020-12-10 |