NPI | 1841553724 |
---|---|
Former Name | LAURA GRACE ROLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01938) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-06-16 |
Last Update Date | 2021-07-20 |