| NPI | 1376255752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI AYALA Clinical Therapist 909-375-3816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2023-10-31 |