| NPI | 1376021006 |
|---|---|
| Former Name | CARY L SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6182-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC5294) |
| 101YP2500X Counselor, Professional (Licence: CA LPCC5294) | |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2022-02-09 |