| NPI | 1316762339 |
|---|---|
| Doing Business As | KIMBERLY J CRAVOTTA-PURVIS |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY J CRAVOTTA-PURVIS CEO 949-310-8417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-11-15 |