| NPI | 1598913642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH ANN MCCARTY Owner 203-374-6215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CT 001089) |
| 103TS0200X Psychologist School | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2012-02-13 |