| 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 |