| NPI | 1649312992 |
|---|---|
| Former Name | ANITA MICHELE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 5458) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 5102) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2013-05-17 |