NPI | 1285468611 |
---|---|
Doing Business As | RENEGADE LOVE THERAPY |
Entity Type | Organization |
Authorized Contact | ALEXUS MARTINEZ CEO 714-454-3072 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2024-08-28 |
Last Update Date | 2024-08-28 |