Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1356887871 |
---|---|
Provider Name | Dr. Norma Smith |
First Address | Bakersfield, CA 93306-1219 |
Second Address | Bakersfield, CA 93305-1004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2017 |
Last Update Date | 07/01/2017 |