NPI | 1336588128 |
---|---|
Professional Name | P. JEAN SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 45288) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPC 7) |
Enumeration Date | 2013-06-14 |
Last Update Date | 2013-07-26 |