| NPI | 1790503209 |
|---|---|
| Former Legal Business Name | UNBRIDLED CHANCES PSYCHOTHERAPY CORPORATION |
| Entity Type | Organization |
| Authorized Contact | KRISTEN YULE Owner/President 310-930-0967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2024-10-02 |