| NPI | 1235910548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SELLER Licensed Mental Health Counselor 774-421-9678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-12 |