NPI | 1316250020 |
---|---|
Former Name | AMI SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 103TS0200X Psychologist School (Licence: MA 322623) |
Enumeration Date | 2010-07-22 |
Last Update Date | 2010-08-02 |