NPI | 1912026253 |
---|---|
Entity Type | Organization |
Authorized Contact | ELAINE BARBARA DESILVA Licensed Marriage And Family Therap 860-537-6656 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 000989) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 000822) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2020-08-22 |