| NPI | 1861938722 |
|---|---|
| Doing Business As | RANCHO CUCAMONGA THERAPIST |
| Entity Type | Organization |
| Authorized Contact | STACEY MERRELL President 951-218-0951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2021-12-07 |