| NPI | 1184635500 |
|---|---|
| Former Name | KELLY JANE GUINDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC-106) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MHC106) |
| 103T00000X Psychologist (Licence: RI MHC106) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2015-07-22 |