| NPI | 1528700838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUELMA PAULINO Licensed Marriage Family Therapist 860-601-4590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2024-06-13 |