| NPI | 1619493152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY WIMPFHEIMER Lcsw,LLC 860-543-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006391) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |