| NPI | 1669713863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA K BASKIN Psychologist 617-564-0246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9648) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |