| NPI | 1124781059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE O'LEARY Licensed Professional Counselor 860-690-7048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2021-10-18 |