| NPI | 1225820442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL HENLEY Owner 617-610-7380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2026-01-09 |