| NPI | 1841078037 |
|---|---|
| Former Name | MADELEINE FLORA COHEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MA PSY10000470) |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2024-01-17 |