| NPI | 1174823074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALISSA L KRAFT President 617-913-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 8932) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |