NPI | 1740504208 |
---|---|
Other Name | RITA LOUISE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4140) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 4140) |
103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NC 4140) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 4140) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: NC 4140) | |
Enumeration Date | 2010-03-26 |
Last Update Date | 2011-10-24 |