| NPI | 1386913671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN A. BORITZ Sole Proprietor 203-917-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001240) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2024-04-08 |