| NPI | 1093140303 |
|---|---|
| Former Name | KRYSTAL NICOLE BARTLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: RI PS02170) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: RI PS02170) |
| 103TC1900X Psychologist, Counseling (Licence: RI PS02170) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: RI PS02170) | |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2023-05-11 |