| NPI | 1427664069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY CACERES Licensed Professional Counselor 860-215-2140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2023-05-23 |