| NPI | 1639505530 |
|---|---|
| Former Name | KRISTEN SMYTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health (Licence: MA 10912) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC012828) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2023-01-10 |