| NPI | 1174350995 |
|---|---|
| Former Name | SAVANNA F SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 292445) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 292445) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2025-02-26 |