| NPI | 1508806936 |
|---|---|
| Former Name | ELIZABETH D SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.013998) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KS 1753) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2010-05-14 |