NPI | 1457693194 |
---|---|
Professional Name | JESSE ROBERTA SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH20047) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005544) |
Enumeration Date | 2013-03-20 |
Last Update Date | 2024-07-09 |