NPI | 1346465515 |
---|---|
Entity Type | Organization |
Authorized Contact | JANINE PROULX Office Manager 909-981-0270 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2007-04-14 |
Last Update Date | 2020-08-22 |