NPI | 1104117951 |
---|---|
Other Name | REBEKAH MARIE SMITH-ROBERTSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NM RS2011-0279) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM 1104117951) | |
Enumeration Date | 2011-04-28 |
Last Update Date | 2014-07-14 |