| 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 |