| NPI | 1528515434 |
|---|---|
| Former Name | KELLY ANNE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6923) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R-6443) |
| 104100000X Social Worker | |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2023-12-27 |