NPI | 1134642978 |
---|---|
Entity Type | Organization |
Authorized Contact | RENEE CAWLEY Licensed Professional Counselor 909-573-9327 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPC.0012885) |
Enumeration Date | 2017-07-24 |
Last Update Date | 2017-07-24 |