| NPI | 1356188858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAHITA N/A SHAHBAZI Licensed Marriage Family Therapist 619-630-9453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-11 |