| NPI | 1346664505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER N WILDER Owner/ Clinical Psychologist 401-406-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2014-02-08 |
| Last Update Date | 2014-02-08 |