Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 101YM0800X | Mental Health Counselor | 9487 | MA |
NPI | 1003183153 |
---|---|
Provider Name | Ms. Gopi Dhokai |
First Address | Cambridge, MA 02138-1170 |
Second Address | Cambridge, MA 02138-1170 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2011 |
Last Update Date | 07/05/2019 |