NPI | 1881987444 |
---|---|
Former Name | ROMY SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 015164) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 4885) |
Enumeration Date | 2011-05-16 |
Last Update Date | 2012-12-11 |