| NPI | 1780564070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAILA ELISA WILSON Lmft/ President 619-722-0686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101Y00000X Counselor | |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-09-05 |