| NPI | 1225689938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLAN NICHOLE DIAS Licensed Marriage & Family Therapis 559-816-3903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |