| NPI | 1619284593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARCHNA KHATTAR Manager/ Member 860-655-2048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001069) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 001965) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |