| NPI | 1437535580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LEE PETERSEN Owner/Psychotherapist 860-227-6839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008697) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |