| NPI | 1306084272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME ELIZABETH MEDVENE President 818-981-7845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA CP13740) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2020-05-15 |