| NPI | 1134569288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE ANNE HARRIS Psychotherapist 949-887-1612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCS18421) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |