| NPI | 1033510367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA WILCOX Licensed Professional Counselor 860-266-6098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 2459) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2018-10-01 |