NPI | 1629509807 |
---|---|
Professional Name | E D SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CO 5003) |
Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY004208) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2021-03-17 |