| NPI | 1295498798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY LANGE Co Owner, Clinician 617-304-1057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 221700000X Art Therapist | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2021-10-21 |