| NPI | 1174032288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILLIAM WINAKOR Sole Proprietor 860-222-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008989) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-09-21 |