| NPI | 1043585250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE POMEROY Member 860-573-8602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001458) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |