| NPI | 1487159117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRYSTAL LONG Licensed Professional Counselor 203-677-0919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002045) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |