| NPI | 1437481611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA FAIR BRODESKE Licensed Psychologist 714-569-9976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21931) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |