| NPI | 1770341059 |
|---|---|
| Former Name | GENEVA LOUISE SMEDLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP.0100494) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL ICADC.0000139) |
| 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCM.0103735) | |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-28 |