| NPI | 1487152872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONARAE O SHURKO Owner 860-997-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001851) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |