| NPI | 1629409172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY-ANN ELIZABETH FRANCES Owner 203-243-0783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 1604) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |