| NPI | 1184746505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK IMHOFF Psychologist 818-843-8465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA Psy7221) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2012-12-27 |