NPI | 1023342540 |
---|---|
Entity Type | Organization |
Authorized Contact | AMAL B TANAGHO Psychiatrist 714-916-0499 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC42837) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA C51476) |
Enumeration Date | 2009-09-30 |
Last Update Date | 2023-03-07 |