| NPI | 1629717855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER E YEBBA Licensed Mental Health Counselor 603-703-8909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-06-04 |
| Last Update Date | 2022-06-04 |