| NPI | 1124665559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAILEY NICOLE HICKS President And Director 661-368-8301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |