NPI | 1003570854 |
---|---|
Entity Type | Organization |
Authorized Contact | NELBA MARQUEZ GREENE Marriage And Family Therapist 203-837-7642 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2021-10-27 |
Last Update Date | 2021-10-27 |