NPI | 1205328010 |
---|---|
Former Legal Business Name | GROUNDWORK THERAPY, PLLC |
Entity Type | Organization |
Authorized Contact | MELISSA MORGAN JOHNSON Owner/Member/Clinical Psychologist 714-267-0471 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2018-06-06 |
Last Update Date | 2018-12-21 |