| NPI | 1952926552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARY PORTER Licensed Marriage & Family Therapis 619-838-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |