| NPI | 1841532298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIFER LUDWIG Credentialing Manager 858-279-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52445) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-03-25 |