| NPI | 1275042806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA LEPAGE Owner 860-989-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001756) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2022-07-21 |