NPI | 1679007181 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL GIANCOLA Lmft 619-964-8288 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT53346) |
Enumeration Date | 2017-04-12 |
Last Update Date | 2017-04-12 |