| NPI | 1891296455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL KLENOTA Owner 510-387-4368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LMFT00002564) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |