| NPI | 1144565284 |
|---|---|
| Former Name | LEEANN ROCHELLE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC013249) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701008515) |
| 101YP2500X Counselor Professional (Licence: WI 4949-125) | |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2024-10-18 |