| NPI | 1154021665 |
|---|---|
| Former Legal Business Name | KATY LUALLEN, MFT |
| Entity Type | Organization |
| Authorized Contact | KATY ANN LUALLEN CFO 530-828-1876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |