NPI | 1659743961 |
---|---|
Professional Name | LIZ SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-37454) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-LAC-LIC-55) |
Enumeration Date | 2015-10-26 |
Last Update Date | 2023-04-24 |