| NPI | 1720504251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN K WOLD Owner 860-595-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001744) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2022-07-21 |