| NPI | 1184459018 |
|---|---|
| Doing Business As | MINDLOFT |
| Entity Type | Organization |
| Authorized Contact | DALE E WERNER Administrator 949-569-9226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-09-02 |
| Last Update Date | 2024-09-02 |