| NPI | 1184043614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN N DE BRUIN President/Owner 619-840-3353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 43615) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2017-12-08 |