| NPI | 1750812525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOFER ANDERSON Owner 909-262-1768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 45388) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |