| NPI | 1982286431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON K. ROUSE Owner 203-554-4054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2021-04-24 |
| Last Update Date | 2024-02-25 |