| NPI | 1376230094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ASHLEY SHAPIRO Owner 714-721-8838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 103T00000X Psychologist | |
| 103TF0200X Psychologist Forensic | |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-04-21 |