| NPI | 1194259135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MCSEVENEY Therapist 760-608-3746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |