| NPI | 1164180899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HICKS Owner, Mental Health Clinician 781-264-3859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2024-06-12 |