| NPI | 1336508217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL LIVELY Psychologist 508-221-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 8729) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |