NPI | 1588925176 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID SCHROEDER Owner 860-875-0292 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 000521) |
Enumeration Date | 2012-05-31 |
Last Update Date | 2012-05-31 |