| NPI | 1629196795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA D. SOTTERY Licensed Marriage Family Therapist 203-605-1399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001156) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |