NPI | 1063101863 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE POTENZA Licensed Marital & Family Therapist 203-307-0190 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2023-05-05 |
Last Update Date | 2023-05-05 |