| NPI | 1902472541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE JEAN PICCERILLO Marriage And Family Therapist 203-631-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-06-03 |