| NPI | 1770095630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA YVETTE ORTIZ Licensed Marriage & Therapist 860-952-4051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 1718) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |