| NPI | 1386400687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE ZHANG Practice Administrator 424-209-2386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 171400000X | |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |