| NPI | 1669086799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN BERRY Member/Agent 203-430-0549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-09-05 |
| Last Update Date | 2021-10-27 |