| NPI | 1831626001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA MARIA RIOS-GASTELUM Owner 858-247-1774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97284) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2017-05-17 |