| NPI | 1770990657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER COSTANZA Owner/President 619-272-6858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC49250) |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2024-08-19 |