| NPI | 1245021021 |
|---|---|
| Former Name | SHIRHONDA MONTICE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61681725) |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-11-10 |