| NPI | 1609266394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH GOTLIEB Private Practice 203-834-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 002465-1) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |