NPI | 1457669962 |
---|---|
Former Name | SARAH E. SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-34244) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 217280) |
1041C0700X Social Worker, Clinical (Licence: ID 32911) | |
Enumeration Date | 2010-09-17 |
Last Update Date | 2017-03-07 |