NPI | 1144972753 |
---|---|
Former Name | AMBRYA ANDE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 8861841) |
Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-41727) |
Enumeration Date | 2022-01-25 |
Last Update Date | 2025-02-05 |