| NPI | 1760255079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE JANETTE ULLOA License Marriage & Family Therapist 562-244-5805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2024-09-27 |