| NPI | 1538742689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YADIRA LOPEZ Mental Health Therapist/Director 424-209-7912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-05 |