NPI | 1528478641 |
---|---|
Other Name | HEATHER THOMPSON-BRENNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 8783) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA 8783) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MA 8783) | |
Enumeration Date | 2014-04-28 |
Last Update Date | 2014-04-28 |