| NPI | 1508391368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYLENE BOOTH Biller 559-797-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT83605) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |