| NPI | 1962720409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN KOSLOF ROSE Owner 617-262-3751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 106216) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 2252) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2010-05-07 |