| NPI | 1497394225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LANDEROS Marriage Family Therapist 619-646-8283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |