| NPI | 1114393493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA LEE BIRTWELL Lmft 203-300-6414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001736) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2020-07-24 |