| NPI | 1760223184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MARY GOHIL Licensed Professional Counselor 203-800-5809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-07-24 |