| NPI | 1184122103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERLY GAVELL Sole Owner 781-350-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 9374) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2023-10-10 |