NPI | 1902068406 |
---|---|
Former Name | REBECCA JA SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60132646) |
Enumeration Date | 2008-06-26 |
Last Update Date | 2011-09-21 |