| NPI | 1265883680 |
|---|---|
| Other Name | SAN PEDRO HEALING ARTS MEDICAL CLINIC INC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT86500) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-10-03 |