| NPI | 1427316777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE A ORTIZ Senior Accountant 818-478-2082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 103T00000X Psychologist | |
| 235500000X Specialist/Technologist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |