| NPI | 1194593756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW RAY AYALA Lic. Marriage And Family Therapist 805-222-6854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-13 |