| NPI | 1467063875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA NILI UTH Manager 508-386-2094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2022-05-24 |