NPI | 1013297837 |
---|---|
Former Legal Business Name | A BALANCED LIFE |
Entity Type | Organization |
Authorized Contact | LINDSAY I SIMON Director 530-544-1748 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 50196) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 50196) |
Enumeration Date | 2011-08-24 |
Last Update Date | 2022-07-21 |