NPI | 1407426638 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGAN HIGINBOTHAM Owner 310-713-5026 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2021-06-29 |
Last Update Date | 2021-06-29 |