NPI | 1528461159 |
---|---|
Former Name | SADIE L SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09871) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: NM C-09871) |
Enumeration Date | 2014-09-26 |
Last Update Date | 2021-05-21 |