| NPI | 1164803136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA MIKAEL Clinician/Psychologist 626-710-7838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: CA 25089) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2023-10-11 |