NPI | 1356382477 |
---|---|
Former Name | DANA CHRISTINE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 32864) |
Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: TX 32864) |
103T00000X Psychologist (Licence: TX 32864) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 32864) | |
103TF0000X Psychologist, Family (Licence: TX 32864) | |
Enumeration Date | 2006-06-09 |
Last Update Date | 2020-11-06 |