NPI | 1225450802 |
---|---|
Former Name | LINDA R SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN L000000036622) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN TNMFT-1814) |
Enumeration Date | 2014-01-15 |
Last Update Date | 2025-02-19 |