| NPI | 1245751155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN STAUDT Owner 203-554-4091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 003152) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2022-07-21 |