| NPI | 1649052986 |
|---|---|
| Former Name | AUDREY PAIGE SMIDDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC.22537) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2026-01-13 |