NPI | 1225316391 |
---|---|
Doing Business As | POTENTIA |
Entity Type | Organization |
Authorized Contact | REBECCA D BASS-CHING Owner And Director 619-819-0283 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 44584) |
Enumeration Date | 2011-07-23 |
Last Update Date | 2011-07-23 |