| NPI | 1134876402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SHEVAH VAHDATPOUR Marriage And Family Therapist 951-708-6516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-03-07 |