NPI | 1962621920 |
---|---|
Former Name | KORINA MARIA SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0048533) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2009-08-04 |