NPI | 1376021006 |
---|---|
Former Name | CARY L SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 6182) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC5294) |
101YP2500X Counselor, Professional (Licence: WI 6182-125) | |
101YP2500X Counselor, Professional (Licence: CA LPCC5294) | |
Enumeration Date | 2018-08-03 |
Last Update Date | 2024-07-30 |