| NPI | 1306377080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT BONILLA CEO/Director 818-305-0931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 51543) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |