| NPI | 1992201974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WYLMA GIBBS Marriage Family Therapist 626-827-0418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC49020) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |