| NPI | 1104663384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI KWAN Psychologist/President 805-415-8468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent |
| Enumeration Date | 2024-07-13 |
| Last Update Date | 2024-07-13 |