NPI | 1164617007 |
---|---|
Doing Business As | SOULTENDERS, INC. |
Entity Type | Organization |
Authorized Contact | WENDY LUDECKE BENCOSME Owner 626-701-4249 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSy 22818) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC38430) |
Enumeration Date | 2007-09-13 |
Last Update Date | 2015-06-08 |