| NPI | 1962803148 |
|---|---|
| Former Name | VIRGINIA ELIZABETH SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 91084) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 087728) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2023-06-23 |