| NPI | 1215455670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MI-YEOUNG JO President/Owner 818-647-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 20814) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2018-10-25 |