| NPI | 1972920379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE CLARKE WADDELL Co Director 413-695-7193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1254 LMFT) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 4412) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |