| NPI | 1265710743 |
|---|---|
| Former Name | KHAALIDA TAHIRA SMALLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005158) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 16810) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50078804) | |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2014-09-23 |