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 |