| NPI | 1578973582 |
|---|---|
| Former Name | VICTORIE NOELLE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT005901) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT005901) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2022-01-27 |