| NPI | 1821507443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE GOODWIN Owner/Clinician 860-748-5248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009553) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2019-08-20 |