NPI | 1821034851 |
---|---|
Former Name | JUDY L SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AR 2204-C) |
Additional Taxonomies | 104100000X Social Worker (Licence: CT 05229) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2014-07-11 |