NPI | 1598053266 |
---|---|
Former Name | MARGO ANN SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0600326) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH E0600326) |
Enumeration Date | 2011-07-15 |
Last Update Date | 2024-11-08 |