| NPI | 1073022604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ASHLEY SHAPIRO Director/Licensed Psychologist 714-340-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: CA 29059) |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical (Licence: CA 61405) | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2022-07-21 |