NPI | 1255703831 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN BLOCH Independent Sole Provider 858-455-1355 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT38192) |
Enumeration Date | 2015-10-22 |
Last Update Date | 2015-10-22 |