| NPI | 1003284514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOLETA MICHELLE GUSTAFSON Owner, Therapist 909-283-0997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49983) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |