| 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 |