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 |