| NPI | 1891313797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA JEAN NOWAK Licensed Professional Counselor 860-926-0142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |