| NPI | 1427611177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GLAZIER LEONTE Owner 978-270-8925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2020-02-04 |