| NPI | 1184133597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE MARIE BONANUTO Licensed Professional Counselor 203-494-3072 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001875) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |