| NPI | 1043011620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA S GARRETT Owner 661-450-7558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-04-24 |