NPI | 1427547801 |
---|---|
Former Name | MONICA LEE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NE 11372) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2804) |
Enumeration Date | 2018-05-01 |
Last Update Date | 2021-09-24 |