| NPI | 1902514144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN OSBURN Licensed Professional Counselor 508-221-2450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |