| NPI | 1073145850 |
|---|---|
| Former Legal Business Name | PATRICIA MARTIN |
| Entity Type | Organization |
| Authorized Contact | PATRICIA MARTIN President 310-991-2632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |