NPI | 1407382534 |
---|---|
Former Name | YOLANDA MARIE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 7262-125) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2017-05-10 |
Last Update Date | 2022-05-20 |