NPI | 1891686465 |
---|---|
Former Legal Business Name | LIGHTHOUSE THERAPY SERVICES |
Entity Type | Organization |
Authorized Contact | LUCY M MEZA Therapist 408-802-0672 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2025-07-11 |
Last Update Date | 2025-07-11 |