| NPI | 1346602240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE JENSEN Owner/ President 619-518-3415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 48059) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |