| NPI | 1811169238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA M AGUAYO Clinical Psychologist 781-572-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 8678) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MA 2402) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |