NPI | 1528303823 |
---|---|
Entity Type | Organization |
Authorized Contact | CASSIA LEA BLOOM Marriage Family Therapist/ Owner 831-588-8032 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 45342) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 28615) |
Enumeration Date | 2012-11-28 |
Last Update Date | 2012-11-28 |