| NPI | 1407141476 |
|---|---|
| Former Name | EVONNE M SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301015324) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301014805) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2012-10-02 |