| NPI | 1912363441 |
|---|---|
| Former Name | GAIL MARIE SMALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L10767) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2023-12-02 |