| NPI | 1376934497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SLACK Psychotherapist 203-434-5135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001379) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |