| NPI | 1952596090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE STEPHAN Co Owner 203-693-2472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 001192) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2020-12-29 |