| NPI | 1760997217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI ELNORA JACKSON Owner 909-674-4289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT80560) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |