| NPI | 1710335344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA BAKER Owner 949-923-8961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY18435) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 75966) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |