NPI | 1275726671 |
---|---|
Entity Type | Organization |
Authorized Contact | STACIA DILORETO Owner 860-796-8003 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 000978) |
Enumeration Date | 2007-08-20 |
Last Update Date | 2007-08-20 |