| NPI | 1306587837 |
|---|---|
| Doing Business As | TRIPLE MOON PSYCHOTHERAPY COLLECTIVE |
| Other Name | TRIPLE MOON PSYCHOTHERAPY COLLECTIVE A LICENSED SOCIAL WORKER CORP |
| Entity Type | Organization |
| Authorized Contact | AMY LE REVE RENDEROS Director 951-870-1528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2023-10-04 |