| NPI | 1568957918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA R FEDERICO Owner 203-671-0871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 1867) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |