NPI | 1316316250 |
---|---|
Former Name | HEATHER L SMITH-SCHRANDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MO 2018042521) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KS LP2385) |
Enumeration Date | 2015-09-22 |
Last Update Date | 2019-06-11 |