| NPI | 1225873524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA JESUS AMPUERO Owner 760-306-3244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-07-15 |