NPI | 1104029784 |
---|---|
Doing Business As | PATHWAYS TO WELLNESS |
Entity Type | Organization |
Authorized Contact | STEPHENIE CHAMPLIN Executive Assistant &Office Manager 714-432-9856 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 11961) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 20804) |
Enumeration Date | 2007-06-08 |
Last Update Date | 2007-09-18 |