| NPI | 1255931242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN WILD RIOUX Mental Health Therapist/ Owner 617-990-6887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |