| NPI | 1639618879 |
|---|---|
| Other Name | KIMBERLY MARIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2021-08-26 |