| NPI | 1447010053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE FRUCHTBAUM Clinical Psychologist 818-650-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |