| NPI | 1356613186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AINE M BERGIN Owner 951-684-6684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 40818) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2019-09-18 |