| NPI | 1720639115 |
|---|---|
| Former Name | DEBORAH K SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 1078) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 4813) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |