Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 8648 | MA |
NPI | 1033241088 |
---|---|
Provider Name | Ay Ling Han |
First Address | Northampton, MA 01060-3137 |
Second Address | Northampton, MA 01060-3137 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2007 |
Last Update Date | 10/07/2007 |