| NPI | 1689945131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE P VANSCHAACK Owner 860-430-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001338) |
| Enumeration Date | 2012-01-14 |
| Last Update Date | 2012-01-14 |