NPI | 1063637015 |
---|---|
Entity Type | Organization |
Authorized Contact | JORDANNA FERN WASILESKU Owner 619-697-0470 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2007-04-16 |
Last Update Date | 2020-08-22 |