| NPI | 1730540725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MICHAUD Owner/Therapist 860-372-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 002846) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |