| NPI | 1134338049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE CATHERINE LA VIGNE Therapist 860-665-0184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 000399) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2009-11-18 |