NPI | 1285189340 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISHANA RIVAS Clinical Psychologist 818-800-5064 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
103TC1900X Psychologist, Counseling | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TF0000X Psychologist, Family | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
103TP2701X Psychologist, Group Psychotherapy | |
Enumeration Date | 2016-08-18 |
Last Update Date | 2016-08-18 |