| NPI | 1043759491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY SHANNON KEMP Owner/Vice President 760-810-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 51919) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2019-03-21 |