NPI | 1366290066 |
---|---|
Former Name | VALERIE D SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6362009544) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6451022705) |
101YP2500X Counselor, Professional (Licence: MI 6451022705) | |
103TC1900X Psychologist, Counseling (Licence: MI 6362009544) | |
Enumeration Date | 2024-05-08 |
Last Update Date | 2024-12-30 |