| NPI | 1710383500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA F BRODERSEN Owner 860-281-1720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001654) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |