NPI | 1992300032 |
---|---|
Former Name | LAUREN M SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW009031) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA MSW009651) |
Enumeration Date | 2020-12-04 |
Last Update Date | 2024-07-03 |