| NPI | 1336448604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA G FORREST Psychotherapist/Mgr. 203-501-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 1417) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2021-12-14 |