| NPI | 1962077644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY DIANE SANCHEZ Mft Trainee 661-546-6367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2022-03-08 |