| NPI | 1972740363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELENE MICKEY WILSON President 949-296-7654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49203) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist (Licence: CA 48863) | |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2010-10-25 |