| NPI | 1346687498 |
|---|---|
| Former Name | JENIFER MARIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60378494) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60378494) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |