NPI | 1366749749 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON HEATH HINZE President/Clinical Psychologist 310-614-3795 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23840) |
Enumeration Date | 2011-02-19 |
Last Update Date | 2012-01-06 |