| NPI | 1568896884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLIE L. WEINGEROFF Proprietor 617-279-0739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9653) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2015-09-28 |