| NPI | 1104135615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAY L HARTELL Licensed Psychologist 949-640-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY11193) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |