| NPI | 1013298553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFIA ELENA GONZALES Mental Health Counselor 760-899-7427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |