| NPI | 1972030203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN C FENN Marriage And Family Therapist 760-702-2133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 93378) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2017-05-17 |