| NPI | 1821487091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA DECLEENE Marriage And Family Therapist 424-234-0128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 82559) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-02-12 |