| NPI | 1467760595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE M MURPHY Office Manager 860-767-1277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 000917) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 007010) |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2013-01-25 |