| NPI | 1780340802 |
|---|---|
| Other Name | DOMINIQUE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6451022099) |
| 101YP2500X Counselor, Professional (Licence: 6451022099) | |
| 104100000X Social Worker | |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2024-03-06 |