| NPI | 1952794422 |
|---|---|
| Former Name | CARLY PARNITZKE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3324) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS018685) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2024-03-14 |