| NPI | 1669348348 |
|---|---|
| Former Name | MALIK A SMITH-THOMPSON |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 373H00000X Day Training/Habilitation Specialist | |
| 225800000X Recreation Therapist | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2025-10-11 |
| Last Update Date | 2026-09-29 |