| NPI | 1891592929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA STOKKE Vice President & Secretary 949-229-1325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-02-26 |