| NPI | 1225580319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY PAIGE THOMPSON Owner 301-502-0211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA :MFT89425) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2024-01-22 |