| NPI | 1093393456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LEIGH SMITH License Marriage & Family Therapist 619-760-7025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2021-03-29 |