| NPI | 1639601511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN M MARTINEZ Director 562-273-2124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90136) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |