| NPI | 1467621540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN HASENFELD Psychologist 781-862-9346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MA 4085) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |