NPI | 1437686730 |
---|---|
Former Name | SHEROLDE VALENCIA SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC06195900) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2017-05-17 |
Last Update Date | 2023-05-10 |