NPI | 1225540636 |
---|---|
Former Name | DANIELLE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1901825-SUPV) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1502328) |
1041C0700X Social Worker, Clinical (Licence: OH I.1901825) | |
Enumeration Date | 2017-10-26 |
Last Update Date | 2023-09-25 |