NPI | 1164922159 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBIN L NICHOLS Owner 951-364-4838 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97174) |
Enumeration Date | 2018-02-15 |
Last Update Date | 2018-02-15 |