| NPI | 1629513452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN THUNBERG Owner 203-570-8778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0111990) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2018-01-02 |