| NPI | 1699540054 |
|---|---|
| Doing Business As | OUTSIDE THE LINES THERAPY |
| Entity Type | Organization |
| Authorized Contact | RITA ULATE Owner 909-791-6615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2023-11-16 |