| NPI | 1093663668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTIANNA NGUYEN President 949-866-3392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2026-03-19 |
| Last Update Date | 2026-03-19 |