| NPI | 1821236266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MICHELLE SLADE Psychotherapist 203-549-0852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001781) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |