| NPI | 1679817597 |
|---|---|
| Former Name | LATOYA CHEVELLE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 9186) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3429) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2016-07-16 |