| NPI | 1962669218 |
|---|---|
| Former Name | DEBRA LYNN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2019-11-04 |