| NPI | 1669024311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENA MARTIN Marriage And Family Therapist 562-500-5340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |