NPI | 1740568401 |
---|---|
Former Name | SARA M SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014772) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2011-07-29 |
Last Update Date | 2024-01-17 |