| NPI | 1073020574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIDA MARIE VAZQUEZ-CANIDATE Sole Member/Manager 860-816-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001949) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |