| NPI | 1487031688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LAUREL GASHIN Clinical Psychologist 617-564-0382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9645) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2021-09-10 |