| NPI | 1881238202 |
|---|---|
| Former Name | REBECCA MICHELLE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11013) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM M-09365) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2023-09-19 |