| NPI | 1083922884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN Q MOODY President/Supervising Psychologist 818-425-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2020-09-09 |