| NPI | 1487986071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANNE PETRONIS President 619-787-2771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 41727) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-02-05 |