| NPI | 1316563406 |
|---|---|
| Former Name | MIKAYLA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW22310) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW15477) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2024-08-15 |