| NPI | 1356898993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN E ROBERTS License Professional Counselor 860-821-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 2733) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |