NPI | 1780035931 |
---|---|
Former Name | RAYNA SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134817) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 15353) |
Enumeration Date | 2016-06-29 |
Last Update Date | 2025-03-25 |