NPI | 1134261928 |
---|---|
Former Name | LAURA D. SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801090052) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34003981A) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2008-12-16 |