| NPI | 1770231466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIA BOWICK Owner 805-292-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-03-12 |
| Last Update Date | 2022-03-12 |