NPI | 1922619154 |
---|---|
Former Name | ALICIA D SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MO 2017007374) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS 11842) |
Enumeration Date | 2020-08-11 |
Last Update Date | 2022-06-20 |