| NPI | 1497145460 |
|---|---|
| Doing Business As | HEAL CHANGE THRIVE |
| Entity Type | Organization |
| Authorized Contact | NELIDA E VAZQUEZ-RAMIREZ Psychologist 818-533-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 20379) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2023-03-17 |