| NPI | 1457987943 |
|---|---|
| Former Name | MADELINE DESLONDE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LPC013657) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC007223) |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2024-05-01 |