| NPI | 1952990152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN MILLERD Owner/Clinician 860-796-6695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2021-02-10 |