| NPI | 1467037143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MONACO REYNOLDS Owner 203-208-8996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-03-14 |
| Last Update Date | 2023-09-19 |