NPI | 1174766075 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY JOHN PEARSON Owner 203-226-6210 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001157) |
Enumeration Date | 2009-04-08 |
Last Update Date | 2009-04-08 |