| NPI | 1720596489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA A MANDERINO Owner 203-592-7898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 003013) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |