NPI | 1871967240 |
---|---|
Former Name | PAULA LEE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2303549) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.0500674) |
Enumeration Date | 2015-11-22 |
Last Update Date | 2023-06-12 |