| NPI | 1386194611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIEN ROMAN-HAMPTON Owner/Mental Health Therapist 617-871-9807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119767) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |