Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003197872 |
---|---|
Provider Name | Kathleen S. Barrett |
First Address | Newton, MA 02458 |
Second Address | Newton, MA 02458 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2011 |
Last Update Date | 07/09/2011 |