| NPI | 1609327667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NHUNG TUYET PHAN Psychologist 800-683-2945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY28271) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 103TC0700X Psychologist Clinical | |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2024-04-17 |