NPI | 1992194237 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA BENNETT Therapist 860-233-4321 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001420) |
Enumeration Date | 2015-01-09 |
Last Update Date | 2015-01-09 |