| NPI | 1255490157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY POONEN Owner 714-544-9466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA CO41790) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC33147) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2009-07-07 |