| NPI | 1114479888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA KATHLEEN MARSHALL Owner 203-400-1884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007256) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |