NPI | 1124169503 |
---|---|
Other Name | BEBE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC LCSWC002620) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C002620) |
Enumeration Date | 2007-02-09 |
Last Update Date | 2016-10-19 |