| NPI | 1780713735 |
|---|---|
| Former Name | KELLEY HARRISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: RI PS00680) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: RI PS00680) |
| 103TC0700X Psychologist, Clinical (Licence: RI PS00680) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: RI PS00680) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: RI PS00680) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: RI PS00680) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-09 |