| NPI | 1891271151 |
|---|---|
| Former Name | SPENCER SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WV 2788) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2023-12-21 |