| NPI | 1891167326 |
|---|---|
| Former Name | SAVANNAH SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 245239) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2019-06-05 |