| NPI | 1407518533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIERRA C MARTIN Owner 424-326-3828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| 1041C0700X Social Worker, Clinical | |
| 251S00000X | |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2024-04-10 |