| NPI | 1629511712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRINE A AEGERTER Sole Proprietor, Manager 617-935-2245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 9883) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2020-06-14 |