NPI | 1013348515 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLE A HARRIS Psychotherapist 949-887-1612 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCS18421) |
Enumeration Date | 2013-12-09 |
Last Update Date | 2013-12-09 |