| NPI | 1417558974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MARIA LOPEZ Owner 760-253-1834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |