NPI | 1881252112 |
---|---|
Former Name | SAMANTH K SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI MFT-802) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2019-06-01 |
Last Update Date | 2023-01-04 |