| NPI | 1659724607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADJA NOREEN REILLY Co Owner 617-922-2797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TS0200X Psychologist, School | |
| 104100000X Social Worker | |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |