| NPI | 1568852952 |
|---|---|
| Former Name | MARY/CAROL ROBERT CLARE/ROBERTA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: OH 7217) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810005000) |
| 221700000X Art Therapist (Licence: 98-119) | |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-05-30 |