| NPI | 1629493036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINA MANSOUR Owner/Lmft 860-378-9605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 000462) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |