| NPI | 1013310044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA JOY MAYNARD Director 888-634-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT46876) |
| Enumeration Date | 2014-10-05 |
| Last Update Date | 2014-10-05 |