| NPI | 1598966582 |
|---|---|
| Former Name | CHRISTENE RAENEA SMART-LEADER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OK 5204) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2022-12-09 |