| NPI | 1588085948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON RENEE MCCORMICK Member 203-293-8716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 1553) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-01-02 |