| NPI | 1932984259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELYSHA GREENBERG Owner 617-339-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-08-25 |