| NPI | 1851069561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PATE Owner 714-335-9265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-08-30 |