| NPI | 1821383522 |
|---|---|
| Former Name | AMY LEIGH SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD H90690) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX p4489) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2022-05-22 |