The holder whose full name is Smith, Brenda S.,come from Columbus IN,hold the Psychologist - Health Service Provider license(NO.20040831A) which status is Active.
| Name | Smith, Brenda S. |
|---|---|
| License Number | 20040831A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | Columbus |
| State | IN |