| NPI | 1114310117 |
|---|---|
| Former Name | DANA LEIGH SMIDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4904) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 021009) |
| Enumeration Date | 2015-03-15 |
| Last Update Date | 2015-06-23 |