| NPI | 1639861016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE DERIFIELD Chief Executive Officer 714-267-7651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-05-23 |