| NPI | 1033796669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYIEMA DESIREE' CARTER Licensed Clinical Psychologist 310-738-9271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2021-03-28 |