| NPI | 1235616335 |
|---|---|
| Former Name | VICTORIA CHIALY SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005946) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: VA 0810005946) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2024-02-19 |