| NPI | 1871993220 |
|---|---|
| Other Name | ROXIE ANN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15855-130) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2022-06-07 |