| NPI | 1609433101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN JOANNA BLANEY Marriage And Family Therapist 949-633-6516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-06-11 |