| NPI | 1194848978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | S A MANOHARA Owner 661-323-6410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA A34791) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA c43345) |
| 103T00000X Psychologist (Licence: CA A50719) | |
| 103T00000X Psychologist (Licence: CA C30492) | |
| 103T00000X Psychologist (Licence: CA A41677) | |
| 103T00000X Psychologist (Licence: CA A44584) | |
| 103T00000X Psychologist | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |