NPI | 1508188095 |
---|---|
Former Name | AMY H SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005987) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH 0700091) |
1041C0700X Social Worker, Clinical (Licence: MI 6801090894) | |
Enumeration Date | 2010-02-24 |
Last Update Date | 2020-07-23 |