| NPI | 1598374118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TETIA TEREZ HENSON Owner 562-264-5917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |