| NPI | 1508192725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL WEINER Psychotherapist 860-677-0028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 000859) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 000361) |
| 1041C0700X Social Worker, Clinical (Licence: CT 005336) | |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2014-06-09 |