| NPI | 1881743243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNIE ROBERT NOVELL Owner 951-694-0695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 25733) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2013-04-17 |