| 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 |