NPI | 1427172212 |
---|---|
Entity Type | Organization |
Authorized Contact | RODNEY PAUL BOONE President 818-547-2623 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY10046) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2011-07-29 |