NPI | 1134305733 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK BAKER President 626-351-9616 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA PSY 9219) |
Enumeration Date | 2008-01-14 |
Last Update Date | 2008-02-12 |