| NPI | 1154761146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARITA WISNIA President 818-990-5906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY13323) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 22300) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2013-12-03 |