| NPI | 1366975245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNTRE ANN WOMACK Director 619-718-2526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT95741) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |