| NPI | 1578825923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN SUZANNE VANNAUKER Licensed Marriage & Family Therapis 909-635-8077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA MFC 44622) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |