| NPI | 1689816423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA KAY WIENS Therapist 203-453-1781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001393) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2009-03-25 |