| NPI | 1538766670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDYE TINSON-DELOOZE Marriage And Family Therapist 619-944-7148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-07 |