| NPI | 1134466121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA MARYCLAIRE DREYER Owner 949-218-4102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 103TC1900X Psychologist Counseling | |
| 101YM0800X Counselor Mental Health | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TA0700X Psychologist Adult Development & Aging | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TF0000X Psychologist Family | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 1041C0700X Social Worker Clinical (Licence: CA LCS21424) | |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2022-03-16 |