| NPI | 1881181790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN LEIGH SHAHVERDIAN Owner 860-470-6578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 2892) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-07-19 |