| NPI | 1972041267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA AVERY RISLEY Owner 860-933-3986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 003082) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2024-08-07 |