| NPI | 1902392103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY L CASPARIUS Owner 203-970-7896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 002002) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |