NPI | 1144665696 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA M WATSON Owner 203-530-2190 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001453) |
Enumeration Date | 2013-05-09 |
Last Update Date | 2013-05-09 |