| NPI | 1316762727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA PENNACHIO Owner 203-751-3257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |