| NPI | 1003289208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LACEN-ROMERO Owner 203-559-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 1771) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |