| NPI | 1023409869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE RENEE TAVANI Sole Member 860-916-0204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001521) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |