| NPI | 1770871501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA EDELHAUS Owner 781-864-0583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1274) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2011-07-13 |