NPI | 1720555642 |
---|---|
Doing Business As | WILLOW TREE WELLNESS |
Entity Type | Organization |
Authorized Contact | KATIE BASSOLI Partner 860-878-4367 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YP2500X Counselor, Professional |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2018-10-29 |
Last Update Date | 2024-06-10 |