| NPI | 1275314205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA AGHBASHIAN Sole Proprietor 909-938-2967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |