NPI | 1346953460 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA WYNER President 818-533-2319 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 103T00000X Psychologist |
101YM0800X Counselor, Mental Health | |
101YS0200X Counselor, School | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TF0000X Psychologist, Family | |
103TP2701X Psychologist, Group Psychotherapy | |
103TS0200X Psychologist, School | |
Enumeration Date | 2023-01-04 |
Last Update Date | 2023-03-02 |