| NPI | 1205955408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA TIERNEY Office Manager 760-947-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA mfc25417) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-06-12 |