| NPI | 1619425097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANEL MYERS Owner 203-494-7544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001803) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |