| NPI | 1881965002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN P SIDWAY Owner 203-525-2091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001484) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |