| NPI | 1992737670 |
|---|---|
| Former Name | STACEY ANN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A0503016) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2009-04-28 |