| NPI | 1700314606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BOLAND Licensed Professional Counselor 203-605-2571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2017-05-23 |