| NPI | 1487239893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHALIA DORIVAL Licensed Clinical Social Worker 203-706-0648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-03-17 |