| NPI | 1376167882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHLOE ALEXA GREENBAUM Licensed Psychologist 617-807-0773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2020-05-31 |
| Last Update Date | 2020-05-31 |