| NPI | 1093281990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA M PANE President 714-798-1958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2022-12-27 |