NPI | 1548028038 |
---|---|
Other Name | SHINE THERAPY & COACHING |
Former Legal Business Name | SHINE THERAPY |
Former Legal Business Name | N/A |
Entity Type | Organization |
Authorized Contact | KEAVY SMITH Owner 617-784-4619 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2024-03-08 |
Last Update Date | 2024-03-08 |