| NPI | 1326728593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA WALSH Licensed Mental Health Counselor 774-343-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-07-21 |