| NPI | 1245382779 |
|---|---|
| Former Name | ELOISE HALLY SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003276) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2010-01-28 |