NPI | 1053898338 |
---|---|
Entity Type | Organization |
Authorized Contact | RITA LOUISE MORALES Owner 563-325-2208 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 45751) |
Enumeration Date | 2018-07-19 |
Last Update Date | 2023-04-25 |