| NPI | 1659043792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MORAN Lmft 760-566-5516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 106S00000X Behavior Technician | |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-09-28 |