| NPI | 1093115347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHILPA KAPOOR Clinical Psychologist 508-627-3206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26333) |
| Enumeration Date | 2014-08-23 |
| Last Update Date | 2023-08-11 |