NPI | 1689076630 |
---|---|
Entity Type | Organization |
Authorized Contact | SENIEL LUCIEN Owner/Sole Proprietor 860-526-8109 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006341) |
Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 000751) |
Enumeration Date | 2014-09-22 |
Last Update Date | 2014-09-22 |