| NPI | 1639506504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA CHRISTINE MALLONI Counselor 413-204-1985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008704) |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2013-10-08 |