| NPI | 1003529744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNA G. CEBALLOS Licensed Professional Counselor 203-808-3543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2023-05-30 |