NPI | 1316087901 |
---|---|
Former Name | AMY RUTH COHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: MA 4753) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MA 4753) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MA 4753) | |
103TF0000X Psychologist, Family (Licence: MA 4753) | |
103TH0100X Psychologist, Health Service (Licence: MA 4753) | |
103T00000X Psychologist (Licence: MA 4753) | |
Enumeration Date | 2007-02-06 |
Last Update Date | 2007-07-08 |