| NPI | 1366809790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA SUSANA HANSEN Clinical Psychologist 213-448-2835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27482) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |