| NPI | 1225563752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA HOLMQUIST President 626-509-9546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY27888) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |