| NPI | 1578635629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JAYNE CARLSON-COLLINS Owner 805-371-1679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MA14528) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |