NPI | 1386820900 |
---|---|
Former Name | BETH ANNE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76749) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 115349) |
Enumeration Date | 2008-01-14 |
Last Update Date | 2023-03-31 |