| NPI | 1699716456 |
|---|---|
| Former Name | KANDRA J SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5391) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A9809040) |
| 101YM0800X Counselor, Mental Health (Licence: AR P0701004) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2024-12-12 |