| NPI | 1225236250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET C GUSTAVSON Therapist 805-480-2622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC42546) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |