| NPI | 1942934757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILA IVANOFF VALDEZ Licensed Mental Health Counselor 603-966-8423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-07-16 |
| Last Update Date | 2022-07-19 |