NPI | 1912365255 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLEY CRANE Ower; Marriage And Family Therapist 951-295-4911 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60445167) |
Enumeration Date | 2016-02-01 |
Last Update Date | 2016-02-01 |