| NPI | 1386777902 |
|---|---|
| Former Name | KRISTIN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 2772) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY7350) |
| 103TC0700X Psychologist, Clinical (Licence: TN P2772) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |