| NPI | 1891191086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTINY CHAMPION Marriage And Family Therapist 805-407-8235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC39699) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF74915) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2017-05-02 |