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 |