| NPI | 1891565610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM GUILLEN-IBARRA Clinical Counselor 619-240-2359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-01-19 |