| NPI | 1144304486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L THRASHER Owner 714-444-0395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY11290) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC39390) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |