| NPI | 1952070377 |
|---|---|
| Former Name | BROOKE HEATHER GENKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA PSY10000117) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: RI PS01934) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: RI PS01934) | |
| 103TC0700X Psychologist, Clinical (Licence: RI PS01934) | |
| 103TH0004X Psychologist, Health (Licence: RI PS01934) | |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2023-12-18 |