| NPI | 1770222960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYSSA VON DOEREN Owner 805-338-8223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2023-09-25 |