| NPI | 1154647345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH K SHON Psychologist 626-793-0858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY11520) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-04-13 |