| NPI | 1275692188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN GRAYSEN President 310-277-7838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY11434) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2021-07-02 |