| NPI | 1982989810 |
|---|---|
| Former Name | AMANDA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY25760) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSB36191) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2015-07-13 |