| NPI | 1033430988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE ELIZABETH LEWIS President 310-277-8810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY6555) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY6555) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2015-03-24 |