| NPI | 1861523003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE FITZGERALD Clinical Supervisor 619-595-4418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 48542) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2012-08-21 |