| NPI | 1821752379 |
|---|---|
| Former Legal Business Name | REBECCA BETANCOURT, LMFT |
| Entity Type | Organization |
| Authorized Contact | REBECCA BETANCOURT Lmft 860-324-5223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2021-10-29 |