NPI | 1225635501 |
---|---|
Entity Type | Organization |
Authorized Contact | IXCHEL TELLEZ FONSECA Licensed Marriage Family Therapist 714-422-5773 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-10-08 |
Last Update Date | 2020-10-08 |