| NPI | 1407393416 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KRISTEN LOUISE ROUTH Lmft 805-657-5520  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52149)  | 
| Enumeration Date | 2017-01-27 | 
| Last Update Date | 2017-01-27 |