| NPI | 1326716630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKISHA CHARMAINE MCCROREY Licensed Professional Counselor 860-913-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2021-09-01 |