NPI | 1043835408 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHARINE M PUTMAN Owner 626-808-7534 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
103TF0000X Psychologist, Family | |
Enumeration Date | 2020-06-11 |
Last Update Date | 2020-06-11 |