| NPI | 1477136117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL HENNAH SARBULAND Equal Partner/Therapist 909-649-1358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-06-25 |