| NPI | 1790144095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY M FALLIE Facilitator/Av 661-266-4783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88669) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2018-06-20 |