| NPI | 1457848533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON TARDIF Licensed Professional Counselor 860-918-8802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 003174) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2021-06-07 |