NPI | 1285920066 |
---|---|
Professional Name | KELLY BETH SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CO 990) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09923436) |
Enumeration Date | 2011-06-21 |
Last Update Date | 2017-02-20 |