NPI | 1306389424 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE BURDICK Owner 860-748-5441 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 1537) |
Enumeration Date | 2016-11-21 |
Last Update Date | 2018-09-21 |