NPI | 1124415302 |
---|---|
Former Name | MARY SMITHE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010557) |
Additional Taxonomies | 104100000X Social Worker (Licence: NC C010557) |
Enumeration Date | 2015-04-24 |
Last Update Date | 2022-05-06 |