| NPI | 1669735049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA GILMAN Owner/Provider 413-687-7681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA MA8490) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |