| NPI | 1912711771 |
|---|---|
| Doing Business As | PRIVATE PRACTICE |
| Entity Type | Organization |
| Authorized Contact | MAXINE DUMSER President 619-417-6353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-03 |