| NPI | 1467931022 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CAROL LETRESSE WALLACE CEO 916-531-5647  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT48746)  | 
| Enumeration Date | 2018-08-14 | 
| Last Update Date | 2018-08-14 |