| NPI | 1700338142 |
|---|---|
| Former Name | ELAINE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC9062) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC LGPC00898) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701010327) | |
| 101YM0800X Counselor, Mental Health (Licence: MD LGP7431) | |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2023-04-10 |