| NPI | 1396208435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOMPELELO KHUMALO BOUCHER Owner 617-791-2645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-04-06 |
| Last Update Date | 2019-04-06 |