| NPI | 1174233704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFRY KLEINBERG Owner/Authorized Official 858-722-6705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2022-12-05 |