| NPI | 1174006985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI RENEE JOHNSON President 805-575-2559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108676) |
| Enumeration Date | 2018-09-09 |
| Last Update Date | 2019-09-28 |