| NPI | 1144697707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE QUEEN Professional Counselor 860-384-2523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CT 001573) |
| Enumeration Date | 2015-08-29 |
| Last Update Date | 2015-08-29 |