| NPI | 1144468786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA KEIKO MASUDA-STORY Clinical Psychologist 818-481-6581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY20385) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2018-01-31 |