| NPI | 1427269315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH TRACY BAXT Owner 909-518-0329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT20764) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |