| NPI | 1013809987 |
|---|---|
| Former Name | STEPHANIE JEAN SMITHGALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255R0406X Specialist/Technologist, Rehabilitation, Blind (Licence: VA PGP-0664190) |
| Additional Taxonomies | 225CX0006X Rehabilitation Counselor, Orientation and Mobility Training Provider |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |