| NPI | 1609134196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN DEPASQUALE Sole Proprietor 508-536-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 6468) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |