| 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 |