| NPI | 1548842081 |
|---|---|
| Other Name | SHELLEY MARTIN, LICENSED MARRIAGE AND FAMILY THERAPIST, INC |
| Entity Type | Organization |
| Authorized Contact | SHELLEY MARTIN Lmft 661-303-6975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2021-04-24 |
| Last Update Date | 2021-04-28 |