NPI | 1043972417 |
---|---|
Entity Type | Organization |
Authorized Contact | WHITNEY MCFADDEN President 617-249-6854 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC0700X Psychologist, Clinical | |
103TC1900X Psychologist, Counseling | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2021-10-12 |
Last Update Date | 2022-05-31 |