| NPI | 1467755454 |
|---|---|
| Former Name | REBECCA D SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4487-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 4487-125) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2022-06-01 |