NPI | 1558694612 |
---|---|
Former Name | KATHRYN ELIZABETH SMUTNICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 5721-C) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 2294-M) |
Enumeration Date | 2009-09-08 |
Last Update Date | 2019-04-26 |