| NPI | 1386189140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL ORTIZ Marriage And Family Therapist 860-729-4824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001629) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |