| NPI | 1255998498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANILGA TABIBIAN Psychologist 626-540-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2022-08-25 |