| NPI | 1124366745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA S REQUA Owner/Therapist 203-803-0469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001415) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |