| 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 |