| NPI | 1780137893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MINOGUE Member 203-515-0970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 1831) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2024-02-06 |