| 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 |