| NPI | 1679890347 |
|---|---|
| Former Name | LINDA L SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15480-132) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15450131) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2015-01-08 |