| NPI | 1194860973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND L. HANSINK Clinical Psychologist 949-933-3556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY16087) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2010-03-01 |