NPI | 1073763207 |
---|---|
Other Name | HEATHER MARIE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401000142) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401011090) |
103K00000X Behavior Analyst (Licence: 1-16-21559) | |
Enumeration Date | 2008-09-24 |
Last Update Date | 2022-07-21 |