| NPI | 1902199326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE TOBIN Owner 860-673-0145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2013-12-05 |