| NPI | 1396941928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE KRUEGER Psychologist 323-356-4577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY16400) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2012-04-12 |