| NPI | 1245981117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MALIN Director/Clinical Psychologist 949-229-0873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-22 |