| NPI | 1659019438 |
|---|---|
| Doing Business As | BALANCED WATERS THERAPY |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MICHELLE GIBBS President 562-896-4694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-05-23 |