| NPI | 1548988785 |
|---|---|
| Former Name | EMMA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 11410-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 5405-226) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2024-11-19 |