| NPI | 1841641693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE M NELSON Marriage & Family Therapist 760-566-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53797) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |