| NPI | 1073838181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLE DU VERGLAS Clinical Psychologist 310-820-4928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY13096) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-03-31 |