| NPI | 1902685209 |
|---|---|
| Former Name | HEATHER MARIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61315536) |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2024-09-25 |