| NPI | 1811437536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE B. LEVIN Therapist, Clinician 860-385-1574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-03-10 |