| NPI | 1073139507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA LIZET OBREGON MADERA CEO 626-529-6741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2020-06-20 |