NPI | 1861861718 |
---|---|
Former Name | JANET IRENE BARRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: RI MHC00694) |
Additional Taxonomies | 101Y00000X Counselor (Licence: RI CDP00539) |
101Y00000X Counselor (Licence: RI 536) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: RI 2694) | |
106H00000X Marriage & Family Therapist (Licence: RI CDS0070) | |
106H00000X Marriage & Family Therapist (Licence: RI 139805) | |
Enumeration Date | 2015-09-22 |
Last Update Date | 2015-09-22 |