NPI | 1720405244 |
---|---|
Former Name | AVIS K. SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: AR 12926-M) |
Additional Taxonomies | 104100000X Social Worker (Licence: AR PLMSW) |
Enumeration Date | 2014-03-21 |
Last Update Date | 2024-08-14 |