NPI | 1689013237 |
---|---|
Former Name | KIERA BOYLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01623) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 003476) |
Enumeration Date | 2013-06-17 |
Last Update Date | 2018-10-11 |