| NPI | 1306087457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHARINE M LARSSON Co Director 617-232-2435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 7454) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA 181401) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |