| NPI | 1770921777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALESSANDRA URBANO Licensed Psychologist 617-410-6540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 9583) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: MA 9583) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-09-25 |