NPI | 1760855076 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTORIA REICHERT Owner/Therapist 617-401-7576 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 6495) |
Enumeration Date | 2015-11-09 |
Last Update Date | 2015-11-09 |