| NPI | 1760609549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEDA EBRAHIMI-KESHISHIAN Director 617-547-8764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 6214) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |