| NPI | 1699247353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN REID ROACHE Owner 781-828-2418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2020-07-02 |