| NPI | 1669672234 |
|---|---|
| Other Name | RAEGAN B SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 1043) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 2370) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2025-01-16 |