| NPI | 1659123032 |
|---|---|
| Other Name | THERESA SMILEY THERESA SMILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2026-02-11 |