| NPI | 1689079774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE L. GILLIES President 860-235-3395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003346) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: CT 003346) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |