| NPI | 1093187338 |
|---|---|
| Former Name | ELISABETH SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6361007519) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2025-03-03 |