NPI | 1295386043 |
---|---|
Former Name | RACHAEL SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008369) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2019-09-24 |
Last Update Date | 2024-12-29 |