| NPI | 1881254779 |
|---|---|
| Former Name | DIANNA RENEE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 137308) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 137308) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-10-23 |