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 |