| NPI | 1336680156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA GOLDSTEIN Licensed Professional Counselor 860-716-5318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CT 003036) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |