| NPI | 1962643700 |
|---|---|
| Former Name | JENNIFER CHRISTINE GORING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01126) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2012-01-20 |