NPI | 1780297499 |
---|---|
Former Name | KASIE AUGUST SMITH-WOODMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015292) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-26827) |
Enumeration Date | 2020-08-24 |
Last Update Date | 2024-11-13 |