| NPI | 1912039645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN FRANCES THOMPSON Executive Director 617-244-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 3787) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |