| NPI | 1114550688 |
|---|---|
| Professional Name | DENISE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 8KUSC7H7) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL KWN75FB9) |
| 172V00000X Community Health Worker (Licence: IL 8KUSC7H7) | |
| 261QC1500X Clinic/Center, Community Health (Licence: IL 8KUSC7H7) | |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |