| NPI | 1245315597 |
|---|---|
| Former Name | KELLIE WARD SMYTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 1822) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701011754) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2024-09-19 |