NPI | 1003364019 |
---|---|
Former Legal Business Name | MAYA KLEIN PSYCHOLOGICAL SERVICES |
Entity Type | Organization |
Authorized Contact | MAYA BRISTOW KLEIN Psychologist 503-244-7674 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26592) |
Enumeration Date | 2016-09-19 |
Last Update Date | 2024-03-13 |