| NPI | 1194501700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA COUNDOUL Lmft, Owner 949-414-9623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-09-08 |