| NPI | 1891097630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA KELLY Owner 860-716-6246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001163) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |