| NPI | 1265633002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MULLINAX Psychotherapist 714-680-9022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC37399) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: CA MFC37399) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2008-06-24 |