| NPI | 1336277763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA VON KLEIST President 949-903-1481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 19430) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-20 |