| 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 |