| NPI | 1013374057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACEY JOHNSON PETERS Marriage And Family Therapist 805-451-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT77995) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-03-23 |