| NPI | 1144896788 |
|---|---|
| Doing Business As | SOLE PROPRIETOR |
| Entity Type | Organization |
| Authorized Contact | ANNETTE KAZIBWE NAZZIWA Owner 781-697-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-06-03 |