| NPI | 1710410360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH PASQUIN Marriage And Family Therapist 424-272-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96757) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |