| NPI | 1740446319 |
|---|---|
| Former Name | SARA RACHEL SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36810) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 36810) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2023-10-19 |