| NPI | 1669535878 |
|---|---|
| Former Name | BRITTANY ELIZABETH SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WV 1115) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810004144) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2021-12-20 |