| NPI | 1437501178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE MARSHALL Lmft 203-984-6456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 1795) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |