NPI | 1538235825 |
---|---|
Former Name | SUSAN LOUISE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: NV 5322-C) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L3865) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2010-04-07 |