| NPI | 1932910825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNA PARK Licensed Clinical Social Worker 714-519-4578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2025-01-18 |
| Last Update Date | 2025-10-03 |