| NPI | 1407382534 |
|---|---|
| Former Name | YOLANDA MARIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7264-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 7262-125) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2025-01-13 |