| NPI | 1073094181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA FREDERICK Owner 401-214-8558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01388) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2022-11-03 |