| NPI | 1073020616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILESE BUCHANAN Lmft 951-344-6428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103846) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-03-17 |