| NPI | 1538692355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE CYR Psychotherapist 951-970-0372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS16724) |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2017-04-08 |