| NPI | 1053835496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS A RICHARDSON Partner 714-696-1385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent |
| Additional Taxonomies | 103TH0100X Psychologist Health Service |
| 103TF0000X Psychologist Family | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC0700X Psychologist Clinical | |
| 103T00000X Psychologist | |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2024-09-10 |