| NPI | 1255119418 |
|---|---|
| Former Name | TAKEISHA RENEE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-09-19 |