| NPI | 1992067227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY M GEORGETTE Owner 203-581-2068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001440) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-30 |