NPI | 1639430937 |
---|---|
Entity Type | Organization |
Authorized Contact | FREDERIQUE SHEA Licensed Marriage And Family Therap 860-713-4654 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001490) |
Enumeration Date | 2012-06-04 |
Last Update Date | 2012-06-04 |