| 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 |