| NPI | 1457422552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD OLSON Owner 661-940-4861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 27410) |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2022-10-12 |