| NPI | 1528630373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KILEY DUNNE LIZAMA Owner 858-771-4387 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2025-02-25 |