| NPI | 1992826069 |
|---|---|
| Former Name | REBECCA LYNNE SMOOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 1514) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 11638) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2010-08-05 |