NPI | 1497170302 |
---|---|
Former Name | BRIANNA SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925741) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 087712-1) |
Enumeration Date | 2014-02-28 |
Last Update Date | 2019-01-10 |