| NPI | 1851938500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA WILKERSON Owner/Clinical Supervisor 760-207-7486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |