NPI | 1922463660 |
---|---|
Doing Business As | INNERSELF TELETHERAPY |
Other Name | KIM FOGARTY, PSYCHOTHERAPIST |
Entity Type | Organization |
Authorized Contact | KIMBERLY VERMILLION FOGARTY Owner/Psychotherapist 949-424-9755 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT89459) |
Enumeration Date | 2015-12-23 |
Last Update Date | 2019-01-13 |