| NPI | 1285791954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA NYSTROM President 760-946-2804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MCF31725) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2019-09-16 |