| NPI | 1073965497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA KONG President 323-702-3936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY25298) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: CA LCS29479) | |
| Enumeration Date | 2016-07-09 |
| Last Update Date | 2023-07-19 |