| NPI | 1740658400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CRISTINA TRIFILETTI Licensed Psychologist 617-771-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA PY60471722) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |