NPI | 1982182903 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA M DRYAN President Therapy In A Bag, A Licen 951-347-6935 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-08-01 |
Last Update Date | 2019-10-17 |