| NPI | 1063236222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA JACOBSON Psychologist 818-448-5788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2025-08-27 |