| NPI | 1063560480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MICHAEL KILBANE Owner 562-424-8503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC36992) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |