| NPI | 1356688642 |
|---|---|
| Other Name | MARITZA BOURASSA, LCSW |
| Entity Type | Organization |
| Authorized Contact | MARITZA BOURASSA Member 860-448-9755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 005019) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |