| NPI | 1407366388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE TESTA Licensed Professional Counselor 860-370-5061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |