| NPI | 1912326570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA E FREESE Licensed Clinical Social Worker 714-917-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA lcsw26653) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |