| NPI | 1104308923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA A COAKLEY Owner/Lpc 203-886-7836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 003350) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |