NPI | 1811122245 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN EBERSOLE RIPPY President/Provider 949-521-1140 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC17775) |
Enumeration Date | 2009-05-29 |
Last Update Date | 2013-02-17 |