NPI | 1154647691 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNN KILROY President 310-446-8088 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 15015) |
Enumeration Date | 2010-04-08 |
Last Update Date | 2011-10-22 |