NPI | 1548656762 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN DIANE PAGE President 661-834-8341 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 33975) |
Enumeration Date | 2015-04-14 |
Last Update Date | 2015-04-14 |