| NPI | 1699498600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANNE PALISOC Licensed Marriage&Family Therapist 949-534-2367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2022-10-18 |