| NPI | 1407421522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE LEPAGE Sole Proprietor/Therapist 860-977-0769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2024-06-21 |