| NPI | 1861879439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA WILSON MARTIN Psychotherapist 855-542-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 5960) |
| Enumeration Date | 2015-05-02 |
| Last Update Date | 2015-05-02 |