NPI | 1821547407 |
---|---|
Former Name | SKYLAR NICOLE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2016-09-24 |
Last Update Date | 2023-08-16 |