| NPI | 1992460430 |
|---|---|
| Doing Business As | WANDER PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | MIRANDA ROSE ROTH MILLICAN CEO 619-736-0495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-10-31 |
| Last Update Date | 2021-10-31 |