| NPI | 1972343895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LICIA KRIER Licensed Professional Counselor 860-325-2259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |