| NPI | 1215314711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CONNELY Marriage And Family Therapist 805-550-2918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT82950) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |