| NPI | 1770048951 |
|---|---|
| Doing Business As | MARIO PALACIOS |
| Entity Type | Organization |
| Authorized Contact | MARIO FERNANDO PALACIOS Lmft 310-384-3922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2023-07-05 |