| NPI | 1629551940 |
|---|---|
| Doing Business As | VIDA THERAPY INC. |
| Entity Type | Organization |
| Authorized Contact | ZEAHLOT A LOPEZ CEO 818-650-0255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |