| NPI | 1568979003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA LYNN KOENIG Owner 203-858-6576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 1863) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-06-16 |