| NPI | 1811524424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA SMITH Licensed Therapist 860-559-0349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2023-08-04 |