| NPI | 1376490334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA M BUSWELL Principal 860-335-3559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-03-10 |
| Last Update Date | 2026-03-10 |