| NPI | 1164950747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE M RICHTER Office Manager 714-773-4797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 38219) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2017-05-26 |