| NPI | 1447734777 |
|---|---|
| Doing Business As | ELIZABETH BIBEAULT, LCSW |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH L LALIBERTE Owner 203-572-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2019-05-06 |