| NPI | 1437789120 |
|---|---|
| Former Name | ANN LOUISE SMIT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 225800000X Recreation Therapist |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |