| NPI | 1770008096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE JOHNSON Owner/Founder 617-657-4670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2022-07-21 |