| NPI | 1295278539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH WILSON Therapist Counselor 203-318-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 1848) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CT 1169) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |