| NPI | 1801290713 |
|---|---|
| Former Name | CONNITA SMOOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0011966) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD G12055) |
| 1041C0700X Social Worker, Clinical (Licence: DE Q3-0000166) | |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2022-02-11 |